Volume 5, Issue 3 (10-2022)
Iran J Health Insur 2022, 5(3): 238-246 |
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Research code: IR.BMSU.REC.1399.563
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Sajjadi Khasraghi J, Salesi M, Meskarpour Amiri M, Mohammadian M, Khosmanzar J, Abdi M. The Impact of the COVID-19 Pandemic on the Financial and Performance Indicators of Hospitals: A Case Study in Tehran, Iran. Iran J Health Insur 2022; 5 (3) :238-246
URL: http://journal.ihio.gov.ir/article-1-252-en.html
URL: http://journal.ihio.gov.ir/article-1-252-en.html
Javad Sajjadi Khasraghi1 
, Mahmoud Salesi2 , Mohammad Meskarpour Amiri * 3, Mohammad Mohammadian1 , Javad Khosmanzar1 , Manaf Abdi4
, Mahmoud Salesi2 , Mohammad Meskarpour Amiri * 3, Mohammad Mohammadian1 , Javad Khosmanzar1 , Manaf Abdi4
1- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2- Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
3- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran , mailer.amiri@gmail.com
4- Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2- Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
3- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran , mailer.amiri@gmail.com
4- Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract: (967 Views)
Introduction: The COVID-19 caused many changes in the performance and productivity of health service providers. The purpose of this study was to investigate the effects of the COVID-19 pandemic on the financial and performance indicators of one of the hospitals in Tehran.
Methods: This historical cohort study was conducted in the first 6 months of 2018 as the pre-pandemic period and the first 6 months of 2019 as the post-pandemic period. 13 performance indicators of inpatient departments; 9 operational indicators of the whole hospital and 3 financial indicators were included in the study. The data were received in a pre-designed Excel form from the statistics unit and quality improvement unit of the hospital, and after entering SPSS and checking their normality, they were analyzed with Wilcoxon's non-parametric test.
Results: Average indices of bed circulation (P=0.028), discharged patients (P=0.028) and hospitalized patients (P=0.046) were significantly reduced. The index of death before 24 hours (P=0.027) and after 24 hours (P=0.028) and ED discharge (P=0.028) also increased significantly. The average profit of the hospital at the current price and the actual price had increased significantly (P=0.028). Total current income increased, but real income decreased, which were not significant. Current and real costs were also reduced, only the real cost reduction was significant (P=0.028).
Conclusion: The COVID-19 had a significant impact on the hospital's financial and performance indicators. It’s necessary for hospital managers to have an appropriate model for the development of services and the sustainability of resources during a crisis.
Methods: This historical cohort study was conducted in the first 6 months of 2018 as the pre-pandemic period and the first 6 months of 2019 as the post-pandemic period. 13 performance indicators of inpatient departments; 9 operational indicators of the whole hospital and 3 financial indicators were included in the study. The data were received in a pre-designed Excel form from the statistics unit and quality improvement unit of the hospital, and after entering SPSS and checking their normality, they were analyzed with Wilcoxon's non-parametric test.
Results: Average indices of bed circulation (P=0.028), discharged patients (P=0.028) and hospitalized patients (P=0.046) were significantly reduced. The index of death before 24 hours (P=0.027) and after 24 hours (P=0.028) and ED discharge (P=0.028) also increased significantly. The average profit of the hospital at the current price and the actual price had increased significantly (P=0.028). Total current income increased, but real income decreased, which were not significant. Current and real costs were also reduced, only the real cost reduction was significant (P=0.028).
Conclusion: The COVID-19 had a significant impact on the hospital's financial and performance indicators. It’s necessary for hospital managers to have an appropriate model for the development of services and the sustainability of resources during a crisis.
Type of Study: Research |
Subject:
Special
Received: 2022/09/3 | Revised: 2023/01/23 | Accepted: 2022/11/16 | ePublished: 2022/12/6
Received: 2022/09/3 | Revised: 2023/01/23 | Accepted: 2022/11/16 | ePublished: 2022/12/6
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